Endovascular repair for thoracic aortic pseudoaneurysm induced by pedicle screw implantation: a case report with 8 years follow-up

Pedicle screw instrument surgeries can result in the development of aortic pseudoaneurysm, which is a rare yet potentially severe complication; therefore, the purpose of this work is to describe the case of pseudoaneurysm of the thoracic aorta caused by the severe migration of a pedicle screw after...

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Bibliographic Details
Published in:Journal of cardiothoracic surgery 2024-06, Vol.19 (1), p.326-5
Main Authors: Zhou, Shufen, Han, Hui, Zhang, Yidan, Shu, Chang, Luo, Mingyao
Format: Article
Language:English
Subjects:
Abdomen
Aneurysm, False - etiology
Aneurysm, False - surgery
Aorta
Aorta, Thoracic - surgery
Aortic Aneurysm, Thoracic - surgery
Back surgery
Cardiovascular system
Case Report
Contrast media
Coronary vessels
Endovascular Procedures - methods
Endovascular repair
Extravasation
Femoral artery
Fistula
Follow-Up Studies
General anesthesia
Hemoptysis
Hospitals
Humans
Iatrogenesis
Iatrogenic aortic injury
Implants
Injuries
Male
Medical imaging
Middle Aged
Orthopedic surgery
Paralysis
Patients
Pedicle screw fixation
Pedicle screws
Pedicle Screws - adverse effects
Penetration
Postoperative Complications - surgery
Pseudoaneurysm
Statistics
Stent (Surgery)
Stents
Stents - adverse effects
Stress concentration
Surgeons
Surgery
Surgical implants
Thoracic Vertebrae - surgery
Thorax
Ultrasonic imaging
Veins & arteries
Vertebrae
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Description
Summary:Pedicle screw instrument surgeries can result in the development of aortic pseudoaneurysm, which is a rare yet potentially severe complication; therefore, the purpose of this work is to describe the case of pseudoaneurysm of the thoracic aorta caused by the severe migration of a pedicle screw after surgery. We herein report a patient who underwent endovascular repair for the pseudoaneurysm of the descending thoracic aorta following thoracic vertebral fixation surgery. A 28-80 mm covered stent was initially inserted through the right femoral artery, and intraoperative aortography revealed a minor extravasation of contrast material. Subsequently, an additional 28-140 mm covered stent was implanted. The patient recovered well during the 8-year follow-up period. Vascular complications resulting from spinal surgery are severe and rare, necessitating early diagnosis and intervention.
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-024-02820-w